<!DOCTYPE html>
<html>

	<head>
		<meta charset="utf-8">
		<title>订单变更</title>
		<meta name="viewport" content="width=device-width, initial-scale=1,maximum-scale=1,user-scalable=no">
		<meta name="apple-mobile-web-app-capable" content="yes">
		<meta name="apple-mobile-web-app-status-bar-style" content="black">

		<!--标准mui.css-->
		<link rel="stylesheet" href="../../css/mui.min.css">
		<!--App自定义的css-->
		<link rel="stylesheet" type="text/css" href="../../css/app.css" />
	</head>

	<body>
		<header class="mui-bar mui-bar-nav">
			<a class="mui-action-back mui-icon mui-icon-left-nav mui-pull-left"></a>
			<h1 class="mui-title">订单变更</h1>
		</header>
		<div class="mui-content">
			<form id='login-form' class="mui-input-group">
				<div class="mui-input-row h50">
					<i class="mui-yuyue-icon mui-wutype-icon  mui-pull-left"></i>
					<label class="pl40">选择存放物品类型</label>
					<select class="mui-btn mui-btn-block w36 mt5">
						<option value="item-1">请选择物品类型</option>
						<option value="item-2">item-2</option>
						<option value="item-3">item-3</option>
						<option value="item-4">item-4</option>
						<option value="item-5">item-5</option>
					</select>
					<a class="mui-navigate-right"></a>	
				</div>
				<div class="mui-input-row h50">
					<i class="mui-yuyue-icon mui-cktype-icon  mui-pull-left"></i>
					<label class="pl40">选择仓库类型</label>
					<select class="mui-btn mui-btn-block w36 mt5">
						<option value="item-1">请选择仓库类型</option>
						<option value="item-2">item-2</option>
						<option value="item-3">item-3</option>
						<option value="item-4">item-4</option>
						<option value="item-5">item-5</option>
					</select>
					<a class="mui-navigate-right"></a>	
				</div>
				<div class="mui-input-row h50">
					<i class="mui-yuyue-icon mui-time-icon  mui-pull-left"></i>
					<label class="pl40">选择起租日期</label>
					<select class="mui-btn mui-btn-block w36 mt5">
						<option value="item-1">选择起租日期</option>
						<option value="item-2">item-2</option>
						<option value="item-3">item-3</option>
						<option value="item-4">item-4</option>
						<option value="item-5">item-5</option>
					</select>
					<a class="mui-navigate-right"></a>	
				</div>
				<div class="mui-input-row h50">
					<i class="mui-yuyue-icon mui-zq-icon  mui-pull-left"></i>
					<label class="pl40">租期</label>
					<input id='password' type="password" class="mt5 mui-input-clear mui-input mui-yuuye" placeholder="请输入租期">
				</div>
				<div class="mui-input-row h50">
					<i class="mui-yuyue-icon mui-mianji-icon  mui-pull-left"></i>
					<label class="pl40">面积</label>
					<input id='password' type="password" class="mt5 mui-input-clear mui-input mui-yuuye" placeholder="请输入租用面积">
				</div>
				<div class="mui-input-row h50">
					<i class="mui-yuyue-icon mui-jiazhi-icon  mui-pull-left"></i>
					<label class="pl40">声明价值</label>
					<select class="mui-btn mui-btn-block w36 mt5">
						<option value="item-1">请选择</option>
						<option value="item-2">item-2</option>
						<option value="item-3">item-3</option>
						<option value="item-4">item-4</option>
						<option value="item-5">item-5</option>
					</select>
					<a class="mui-navigate-right"></a>	
				</div>
				<div class="mui-input-row h50">
					<i class="mui-yuyue-icon mui-number-icon  mui-pull-left"></i>
					<label class="pl40">包装数量</label>
					<select class="mui-btn mui-btn-block w36 mt5">
						<option value="item-1">请选择</option>
						<option value="item-2">item-2</option>
						<option value="item-3">item-3</option>
						<option value="item-4">item-4</option>
						<option value="item-5">item-5</option>
					</select>
					<a class="mui-navigate-right"></a>	
				</div>
				<div class="mui-input-row h50">
					<i class="mui-yuyue-icon mui-cftype-icon  mui-pull-left"></i>
					<label class="pl40">存放类型</label>
					<select class="mui-btn mui-btn-block w36 mt5">
						<option value="item-1">自存</option>
						<option value="item-2">item-2</option>
						<option value="item-3">item-3</option>
						<option value="item-4">item-4</option>
						<option value="item-5">item-5</option>
					</select>
					<a class="mui-navigate-right"></a>	
				</div>
			</form>
			<div class="mui-jfinfo">发件信息</div>
			<form id='login-form' class="mui-input-group">
				<div class="mui-input-row h50">
					<i class="mui-yuyue-icon mui-peoples-icon  mui-pull-left"></i>
					<label class="pl40">发件人</label>
					<input id='password' type="password" class="mt5 mui-input-clear mui-input mui-yuuye" placeholder="请输入发件人">
				</div>
				<div class="mui-input-row h50">
					<i class="mui-yuyue-icon mui-wutime-icon  mui-pull-left"></i>
					<label class="pl40">取件时间</label>
					<select class="mui-btn mui-btn-block w36 mt5">
						<option value="item-1">请选择取件时间</option>
						<option value="item-2">item-2</option>
						<option value="item-3">item-3</option>
						<option value="item-4">item-4</option>
						<option value="item-5">item-5</option>
					</select>
					<a class="mui-navigate-right"></a>	
				</div>
				<div class="mui-input-row h50">
					<i class="mui-yuyue-icon mui-wuphone-icon  mui-pull-left"></i>
					<label class="pl40">联系电话</label>
					<input id='password' type="password" class="mt5 mui-input-clear mui-input mui-yuuye" placeholder="请输入联系电话">
				</div>
				<div class="mui-input-row h50">
					<i class="mui-yuyue-icon mui-wuaddress-icon  mui-pull-left"></i>
					<label class="pl40">发件地区</label>
					<select class="mui-btn mui-btn-block w36 mt5">
						<option value="item-1">请选择省市</option>
						<option value="item-2">item-2</option>
						<option value="item-3">item-3</option>
						<option value="item-4">item-4</option>
						<option value="item-5">item-5</option>
					</select>
					<a class="mui-navigate-right"></a>	
				</div>
				<div class="mui-input-row h50">
					<i class="mui-yuyue-icon mui-wuaddressinfo-icon  mui-pull-left"></i>
					<label class="pl40">详细地址</label>
					<input id='password' type="password" class="mt5 mui-input-clear mui-input mui-yuuye" placeholder="请输入联系电话">
				</div>
				<div class="mui-input-row h50">
					<i class="mui-yuyue-icon mui-wutype-icon  mui-pull-left"></i>
					<label class="pl40">提取类型</label>
					<select class="mui-btn mui-btn-block w36 mt5">
						<option value="item-1">请输入提取类型</option>
						<option value="item-2">item-2</option>
						<option value="item-3">item-3</option>
						<option value="item-4">item-4</option>
						<option value="item-5">item-5</option>
					</select>
					<a class="mui-navigate-right"></a>	
				</div>
			</form>
			<div class="mui-jfinfo">收件信息</div>
			<form id='login-form' class="mui-input-group">
				<div class="mui-input-row h50">
					<i class="mui-yuyue-icon mui-peoples-icon  mui-pull-left"></i>
					<label class="pl40">收件人</label>
					<input id='password' type="password" class="mt5 mui-input-clear mui-input mui-yuuye" placeholder="请输入发件人">
				</div>
				<div class="mui-input-row h50">
					<i class="mui-yuyue-icon mui-wuphone-icon  mui-pull-left"></i>
					<label class="pl40">联系电话</label>
					<input id='password' type="password" class="mt5 mui-input-clear mui-input mui-yuuye" placeholder="请输入联系电话">
				</div>
				<div class="mui-input-row h50">
					<i class="mui-yuyue-icon mui-wuaddress-icon  mui-pull-left"></i>
					<label class="pl40">收件地区</label>
					<select class="mui-btn mui-btn-block w36 mt5">
						<option value="item-1">请选择省市</option>
						<option value="item-2">item-2</option>
						<option value="item-3">item-3</option>
						<option value="item-4">item-4</option>
						<option value="item-5">item-5</option>
					</select>
					<a class="mui-navigate-right"></a>	
				</div>
				<div class="mui-input-row h50">
					<i class="mui-yuyue-icon mui-wuaddressinfo-icon  mui-pull-left"></i>
					<label class="pl40">详细地址</label>
					<input id='password' type="password" class="mt5 mui-input-clear mui-input mui-yuuye" placeholder="请输入联系电话">
				</div>
				<div class="mui-input-row h50">
					<i class="mui-yuyue-icon mui-wutime-icon  mui-pull-left"></i>
					<label class="pl40">派送时间</label>
					<select class="mui-btn mui-btn-block w36 mt5">
						<option value="item-1">请选择派送时间</option>
						<option value="item-2">item-2</option>
						<option value="item-3">item-3</option>
						<option value="item-4">item-4</option>
						<option value="item-5">item-5</option>
					</select>
					<a class="mui-navigate-right"></a>	
				</div>
			</form>
			<div class="mui-xieyi ">
				<input name="checkbox" value="Item 2" type="checkbox" checked="">
				您已经确认<span>《百福云仓库用户注册协议》</span>
			</div>
			<button type="button" class="mb20 mui-btn-sz ">确认修改</button>
		</div>
	</body>

</html>